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有冠状动脉旁路移植术史的患者的 COVID-19 症状和体征。

Signs and symptoms of covid - 19 in patients with a history of coronary artery bypass grafting surgery.

机构信息

Guilan University of medical sciences, Rasht, Iran.

Department of neurosurgery, Faculty of Medicine, Imam Khomeini Hospital, Urmia University of Medical Sciences, Urmia, Iran.

出版信息

BMC Infect Dis. 2024 Feb 22;24(1):241. doi: 10.1186/s12879-024-09090-w.

Abstract

BACKGROUND

People who have coronary artery disease are more likely to develop signs and symptoms of COVID-19 due to their special circumstances. Coronary artery bypass grafting surgery (CABG)does not cure the disease but reduces the signs and symptoms, therefore, there is a possibility of severe complications of Covid-19 after it.

MATERIALS AND METHODS

This study is a descriptive and cross-sectional study conducted from June to July 2020 on 200 patients who underwent CABG from February 2018 to February 2020. The instrument consisted of socio-demographic variables and COVID's signs and symptoms checklist. Data were collected by census method by telephone. Data were analyzed using descriptive statistics, Fisher's exact test, Mann Whitney U test, and logistic regression model.

RESULTS

The results showed that the majority of the samples were male (67%). The mean age of them was 62.02 ± 9.06 years and 10% of the m had signs and symptoms of Covid 19. Having the symptoms of COVID-19 is significant in terms of the variables of decreased sense of smell (p < 0.002), decreased sense of taste (p < 0.002), and home quarantine (p < 0.01). The logistic regression model showed decreased sense of taste (OR = 6.071, CI95%: 1.621-29.984, p < 0.009) and non-compliance with home quarantine (OR = 0.061, CI95%: 0.005-0.741, p < 0.028) were the related variables to signs and symptoms of Covid 19.

CONCLUSION

The results did not indicate the frequency of COVID signs and symptoms among people with a history of Coronary artery bypass grafting surgery more than healthy people in the Iranian community. Extensive studies are suggested in this regard.

摘要

背景

由于特殊情况,患有冠状动脉疾病的人更有可能出现 COVID-19 的症状和体征。冠状动脉旁路移植术(CABG)不能治愈这种疾病,但可以减轻症状,因此,在这种手术后,有可能出现 COVID-19 的严重并发症。

材料和方法

这是一项描述性和横断面研究,于 2020 年 6 月至 7 月间对 200 名于 2018 年 2 月至 2020 年 2 月间接受 CABG 的患者进行了研究。该研究采用了社会人口统计学变量和 COVID 症状检查表。通过电话采用普查法收集数据。采用描述性统计、Fisher 确切检验、Mann Whitney U 检验和逻辑回归模型对数据进行分析。

结果

结果显示,大多数样本为男性(67%)。他们的平均年龄为 62.02±9.06 岁,10%的人有 COVID 症状。嗅觉减退(p<0.002)、味觉减退(p<0.002)和居家隔离(p<0.01)与 COVID-19 症状显著相关。逻辑回归模型显示味觉减退(OR=6.071,95%CI:1.621-29.984,p<0.009)和不遵守居家隔离(OR=0.061,95%CI:0.005-0.741,p<0.028)是与 COVID 症状相关的变量。

结论

结果并未表明冠状动脉旁路移植术史患者 COVID 症状的发生频率高于伊朗社区的健康人群。建议在这方面进行广泛研究。

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